# COLORADO FAMILY QUALITY HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164173209
- **Authorized official:** AMA KOOMSON RN (ADMINISTRATOR)
- **Authorized official phone:** (303) 632-7225

## Contact information

- **Practice address:** 1450 S HAVANA ST STE 410, AURORA, CO 80012-4025
- **Practice address phone:** (303) 632-7225
- **Practice address fax:** (303) 353-9884
- **Mailing address:** 1450 S HAVANA ST STE 410, AURORA, CO 80012-4025
- **Mailing address phone:** (303) 632-7225
- **Mailing address fax:** (303) 353-9884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2022
- **Last updated:** 11/02/2023